Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03591 | Date 09/12/2019 |
| Token No | SM/19-20/7976 09/12/2019 | Serial | 049 |
| Patient Name | Mr. SANTU KHAN | Contact No | 9830739102 |
| Address | 19/A K C BHATTACHARJEE STREET | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||